Healthcare revenue.
Reimagined for performance.
Revaxia combines healthcare expertise, operational discipline, and intelligent technology to help organizations capture revenue, reduce friction, and operate with greater precision.
Claim
#RVX-10482
Payer
UnitedHealthcare
Balance
$1,247.00
AI Review
Complete
Human Review
Required
UHC · Commercial
Claim submitted to payer for adjudication.
One revenue cycle. Four specialized capabilities.
Every service is designed to connect with the next — so nothing falls through the gaps between coding, billing, and collections.
From patient encounter to payment.
Follow one claim through every stage — and see how what's learned at the end feeds back into the beginning.
Claim
#RVX-10482
UnitedHealthcare · UHC · Billed $1,247.00
Activity log
- Coverage active · copay $30 · deductible metDay 0 · 09:12
Eligibility
Active
Checked
Pre-visit
UnitedHealthcare · UHC · Commercial / Medicare Advantage
Accuracy begins before the claim leaves your system.
Revaxia supports the coding and billing lifecycle with structured workflows, quality controls, documentation review, and experienced healthcare professionals.
Office visit for the evaluation and management of a new patient, requiring a medically appropriate history and moderate-level medical decision making.
Wellness-visit terminology found in documentation, but no matching preventive CPT code is present.
Blue Shield of California · Commercial / Medicare
Eligibility
Active
Payer confirmed, copay $30, deductible met
Prior Authorization
Required
CPT 99214 + 93000 pending submission
Referral
Verified
On file, ordering NPI confirmed
Coverage
Confirmed
In-network, effective through plan year
Kaiser Permanente · Commercial / Medicare
Start the revenue cycle before the visit.
Registration, eligibility, benefits, and authorization — coordinated before the patient ever reaches the front desk, so financial clearance never slows down care.
Every denial is a signal.
We don't just work denials. We identify why they happen, prioritize recovery, and feed what we learn back into the revenue cycle.
AI Priority: High
Recommended action: documentation review before resubmission. Human review required.
Aetna · Cigna · Humana · Commercial
Know which payers are slowing you down.
First-pass rates and average turnaround are tracked per payer — so conversations with underperforming payers are backed by data, not impressions.
Payer Scorecard
UHC · Aetna · Humana · AnthemAI handles the signal.
Experts handle the judgment.
AI assists with claim validation, denial classification, workflow routing, documentation review, and revenue-leakage detection — while healthcare professionals stay in control of every decision that requires judgment.
AI Analysis
Finding documentation mismatch on claim #RVX-10488…
Confidence
94%
Human Review
Required before submission
Devoted Health · Medicare Advantage
Explore Technology & AISee the revenue cycle clearly.
A/R aging, claims, denials, collections, payer performance, coding accuracy, and turnaround time — brought together into one view, with AI surfacing what's worth a closer look.
A/R
$1.28M
-4.2%
Open Claims
3,842
+1.8%
Denial Rate
6.4%
-0.9pt
Avg. Days
34
-3d
Collections
$842K
+6.1%
Coding Accuracy
98.2%
+0.4pt
Claims Resolved — Trailing 12 Weeks
AI Insight
Denial rate is trending down while claim volume climbs — a sign the coding and eligibility checks upstream are catching more issues before submission.
UnitedHealthcare · Aetna · Humana · Anthem
What a stronger revenue cycle can look like.
The shift organizations look for when coding, billing, and collections finally work as one system — across payers like UnitedHealthcare, Aetna, Cigna, and Humana.
“A connected revenue cycle means AR days come down because nothing sits waiting for someone to notice it — every claim already has an owner.”
Revenue Cycle Director · UnitedHealthcare
30%
Fewer aged claims
34d
Average AR days
“When eligibility and authorization are cleared before the visit, front-desk staff spend their time on patients, not on phone calls to payers.”
Patient Access Lead · Kaiser Permanente
6.4%
Denial rate · Humana
“Coding accuracy compounds. A small improvement at the chart level shows up as real dollars by the time claims reach the payer.”
Coding Operations Manager · Cigna
UnitedHealthcare · Aetna · Cigna · Humana · Anthem
Technology should make healthcare operations more intelligent — not less human.
Healthcare Expertise
Teams trained specifically on healthcare revenue cycle workflows — not general back-office processes adapted for healthcare.
Operational Precision
Defined quality controls at every handoff point, so accuracy doesn't depend on any one person having a good day.
Technology + AI
Automation absorbs repetitive, high-volume work — freeing experienced staff to focus on judgment calls that matter.
Human Oversight
Every AI-assisted recommendation is reviewed by a person before it becomes an action on your revenue cycle.
A structured engagement, from day one.
Understand
We learn your workflows, systems, payer mix, and operational priorities.
Design
We map the right workflows, quality controls, and technology for your organization.
Deploy
Teams, processes, and technology are brought together in a structured rollout.
Improve
Performance data continuously informs process improvement over time.
Built for environments where privacy and accountability matter.
Data Privacy
Patient and claims data handled under strict access boundaries.
Secure Workflows
Every workflow step is logged, traceable, and reviewable.
Access Controls
Role-based permissions limit who can see and touch what.
Quality Assurance
Structured checks run at every handoff, not just at the end.